Active NPI
Michelle Diane Privette, NP
- Nurse Practitioner
- Rocky Mount, NC
National Provider Identifier
1588108641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5009154
- Practice address
- 2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237 - Phone
- (252) 962-3340
- NPI assigned
- Dec 8, 2016
- Last updated
- Dec 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5009154 | NC | Primary |
Addresses
Primary practice location
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Mailing address
1001 Laurelwood Dr
Clinton, MS 39056-3616
Phone (662) 380-0356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1588108641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 LAURELWOOD DR",
"city": "CLINTON",
"state": "MS",
"postal_code": "390563616",
"telephone_number": "662-380-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 CURTIS ELLIS DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042237",
"telephone_number": "252-962-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIVETTE",
"first_name": "MICHELLE",
"middle_name": "DIANE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-08",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.